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1615 E Park Ter (vault) CITY OF ATLANTIC BEACH .. 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 07-00000088 Date 2/12/07 Property Address . . . . . . 1615 E PARK TER Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------------------------------- Application desc bell south switch cabinet ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- QUINTUS, JOHN CARROLL ELECTRIC CO, INC. 1615 PARK TERRACE EAST 9225 HAYDEN ROAD (Bell South construction) JACKSONVILLE FL 32218 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/11/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERNHT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC,ANTIC REACH ELECT CA;.L PEF l T PPI.,-CATION Date: - - Property Address; lr 12C'i C�►IN� �r r �G '�ih' Owner. Bellsouth Construction Telephone Contractor: Carroll Electric Co. , Inc. Telephone#: 757-4162 Contractor Address.. 9225 Hayden Road Fax#: 757-4767 In consideration of permit givens for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach otdrtance and standards ofgood practice listed therein. Building.-. Building Type:-- 0 Trailer_ Service: If .other construction is bX New D Residence D Temp. tg New being done on this building Ci Old CK Commercial 0 Signs D Increase permanumberbuildtng Cl Re-wire O Addition Sq.Ft. ® Repair Conductor Size: AMPS: 01D COPPERElALLTrvIINUM Switch or RACE Breaker AMPS !IDID PH W VOLT �� WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent 8c M.V. Fixed 0.100 MM OVER BELL A liances TRANSFER- Air RANSFERAir RP.R.ATING H.P.RATR G CEILING IOW-HEAT Conditioning COMP.MOTOR. OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS oVElt600V Transformers NO. KVA NO. KVA No.Neon Traus£ Ea. Sign_ Miscellaneous ki 800 Seminole Road.Atinnfi c Beach,Florida 32233-5445 Phone:(904)247-5888. Fax: (904)257-5845 m http-://www.cL2tlantic-beach.fLus Feb 07 07 11;50p Carroll Electric Company (904) 757-4767 p.2 GtCi�O tic;Q aF r✓� �"�.,t.7 v , jr k�.;T_ CITY OF A1 BI ACE ICATION Property Address: ' r e� G!►t��- JTY �G ' I�� Owner: Bellsouth Construction " Telephone 3 r 4f 9 �j Contractor. Carroll Electric Co, , Inc. Tekphone#= 757-4162 Contractor Address: 9225 Hayden Road Fgm#: 757-4767 In eonsideraaon of permit r}''+en for doing the mrork as desame'd in the above sta==L we hereby egret m ped brm said wort,in tceocdat=with the attached pleas and specifications whicth arc a part hereof and in accom%nro witty the City of Atlantic Ecach a4vant a and stendands of �ce listed therein. _Hnilditrrg__. ._ . BnildiagTyprr:" O. Trailer_. Servie>G f- If .ehdher eoostrucdon i8 IX New Q Residence 0 Temp. CX New �S done an this building orsite,liar the buuding a Old GX Ctxamerciai O Signs n Iacreaso Permit nuviber O Ra-wire u Addition Sq.FL Ct Repair Coadnctor Sin~ AMPS.' ob COPPED. R�T3iviII1[JP.r Sv4tch orRACE ie Breaker AMPS i-OD ?I., { W VOLT �MO WAY . Bxiating Service RACE Size AMPS PH W VOLT WAY i Feeders: NO. SIZE I NO SIZE INTO S= " Lighting Outlets CONCEALED OPEN Receptacles CONCEALEDQ IQ AMP- On lr Switches Inewdescent Fluorescent dt Ntv_ Fixed 0108&W__s oz BELL Appusuces TRANSFER. Air RP.8A17NG I?P.RATZTG CEILING IGWI_AT Conditioning COMP_MOTOR OTHER IAOT Or, AMPS HEAT Motors 0-1 ILP. VOLTAGE PH I NO. OVER 1 H.P. PHS 6 l 0J Traasfonma NO. isSrtl i NO. RVA NoNeon Trans£ Ea. Si _ ' Miacellaaeoas his Ck kdsaAisA- 8110 Setuinc4r R=d a i�. t aaic Banc::, Uvida 32.233-5445 Phone:(994)249-5890. Fa;: (90-1)U7-5W,:5- beep.-#w%vw ctmwantl*4mzcb s.+n Feb 07 07 12:34p Carroll Electric Company (904) 757-4767 p•2 w ,i:% F CITY F .� =.4 'IC $E.A.CH j ELEC`_++ ►C ' r err :;� �, +� ^� '.�..,ICATICr — !t r Date: Property Address: R1 Owner. Bellsouth Construction ' 'Telephone Contractor: Carroll Electric Co. , Inc. Telephone#: 757-4152 Contractor Address: 9225 Hayden Road Fax#: 757-4767 Tim consideration of permit Elven Jbr doing the work as described in the above smteroan4 we hereby agree to perform said v.otft in aeoordanee wild the attached plans and specifications which are a pact hraeof and in aonordaax with t1w City of Atlantic Bcoch oed aance Bad staudetds ofaxid Z§g§ge listed iherein. BniidngTyp=.. D_ Trailer.. Service: If .odwr coashucdon is [llNew Q Residence O Temp. CX New beft done on this building •a Old CK Commercial 0 Signs O Or sire,list the buildinr.Increase 1'amitmmt+er: a Re-wire D Addki on Sq.F+. [] Repair Conductor Size: AMPS: I CID COPPER 0 &- ivYI ml Switch or RAC" Breaker � Breaker ABAPS 'O PH ( W VOLT p�u0 WAY Existing Service RACE Size AAIPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Rwxptacles CONCEALED i OREM 0141 AMES, i Switches Incandescent Fluorescent d: M.V. Fixed WON M606 Q25L BELL Apvrnncw TRANSFER. Air HY.RATING MP.RAT INC CEU ING XW-I3Er,T Condit- COMP.MOTOR OTHER MO,W. I A-SIPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS I 1Wal��Rv. o v Traasfotmecs NO. t VA NO. KVA No.Neoa_Traas£ Es. Siva Miscellaneous t �- 800 Seminole Ron]a At1lr i;g F--=h,.77or3de 32233-544 PLonw(984)247-5800. Vr= (9-243)2747-534-3 o b%W.lwraw.cl.ad andc4msch.Mus Feb 07 07 12:33p Carroll Electric Company (904) 757-4767 p.1 CAMOLL ELECTRIC COMPANY (904)757-4162 (904) 757-4767 FAX DATE: d -' 7 - 07 FROM: I y r 1 TO: ODe,rk-c P) zmag,�L—�slh�iv- I�Ie\- � PAGES(including cover): A FAX 0: a L7" 1:54Y5- Ra � , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 07-00000094 Date 2/08/07 Property Address . . . . . . 1615 E PARK TER Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc NEW SERVICE BELLSOUTH SWITCH CABINET ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CARROLL ELECTRIC CO, INC. 9225 HAYDEN ROAD JACKSONVILLE FL 32218 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 2/08/07 Valuation . . . . 0 Expiration Date . . 8/07/07 ---------------------------------------------------------------------------- Special Notes and Comments BELLSOUTH SWITCH CABINET ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUII ING CODES. S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD !:> 5 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 J r319 Application Number . . . . . 08-00001569 Date 11/20/08 Property Address . . . . . . 1615 E PARK TER Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc telephone cable ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ QUINTUS, JOHN BELL SOUTH TELECOMMUNICATIONS 1615 PARK TERRACE EAST PER M GRIFFIN 5/15/08 NO ATLANTIC BEACH FL 32233 LIC INSURANCE REQUIRED ATLANTIC BEACH FL 32233 (904) 256-3182 ----------------------- ----------------------------------------------------- Permit . . . . . . UTILITIES PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 11/20/08 Valuation . . . . 0 Expiration Date . . 11/20/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach *,. APPLICATION NUMBER fy� Building Department ',; (To be assigned by the Building Department.) ` 800 Seminole Road `f. r� Atlantic Beach, Florida 32233-5445 '�Qf ! Phone(904)247-5826 • Fax(904)2 P45 ` E-mail: building-dept@coab.us �IQg Date routed: City web-site: http://www.coab.us �~ f t APPLICATION REVIEW AND TRACKING FORM Property Address: � fo K r Department review required Yes No Building PI Applicant: Public Works P / _ Public.Utilities Project: � ahn, Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: �Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING � p Reviewed by: ��� �►✓ Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Public Works Pian Review Comments Date: I �Q (�� Initials: �Y14-0s K ` "cs 1 — Project Name/.Address: Application Permit#: O b i 5 29 �p� lics ion TrHaekigg omments. Ft'6 Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right-of-Way Permit if using ❑ right-of-way for construction parldng. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting 13proper construction will be required. A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. Roll off container company must be on City approved list and cannot be placed on City right-of-way. ❑ D CITY OF ATLANTIC BEACH r CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS b 800 Seminole Road 904-247-5800 Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 Date 9 AVA <d PERMIT# - 'Wl ISSUED BY THE CITY Job Address G Permitee: BELLSOUTH TELECOMMUNICATIONS Telephone# 904-777-9052 EXT 233 Permittee Address: 7666 BLANDING BLVD., JACKSONVILLE FL. 32244 ATTN: ANGELA LINDSEY Requesting Permission to Construct: TELEPHONE CABLE g (n'21C) Location: (Reference to Cross-Street) Between 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes (X) No ( ) Date: l l l)ql O$ Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes (X) No ( ) Date: t It I l DOES Comcast Yes (X) No ( ) Date: V1114108 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of CLINT STRICKLAND (Contractor's Project Superintendent) located at Telephone#: 904-393-4958. 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall.be made a part of this permit 7. This permittee shall commence actual construction in good faith with 60 days. If the beginning date is. more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER L-� Signed: Date: Before me this day of eQm ' 7 in the County of Duval, d'� M.Alexandra Solano State Of Florida,has personally appeared - t-" ._Commission#D0470953 Notary Public at Large,State of Florida,County o Duval. o� Expires September 12,2009 My commission expires:� e IQ, 'F r•• o p Personally Known: or .F Bonded Troy Fain-Inwran e.lnc 80M985-7Q19 Produced Identification: R1&1 PROPOSES 10 PLACER 4' H i BETWEEN AN I 1 CROSS CONNf N N ENI StIN6 FlIlt I C I I I c � PWR I MESA ' 2 I � I I I � , I CONDUIT ---------- --- SAI 1 -- -- ----� i� 2, I i COND i I I I I 30' - I 3 I J/J'-) Z u 1 1:4 1: / AM W � - C r G 0- 9 W 1615 v E PARK TER COUNTRY CLUB LN QO VICINITY MAP I NFI 111 1 NFJ A T TSE N[l PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF CITY OF k't BEACH 1615 E PARK TER Exchange: JAX BEACH Designer= Lllley.James Phone: 904-727-1558 Authorization: 83E68105N Dwg. I of 2 w I N 0 J °o o r� aa. w w v w ® 1615 J v E PARK TER J O J CLUBTRN J Q� J O�� J 6' J VICINITY MAP J J W J f--- J W IT A TTSE PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF CITY OF JAX BEACH 1615 E PARK TER u Exchange: JAX BEACH Designer: a Lllley.James w0 Phone: 904-727-1558 I I Authorization: 83E68105N Dwg. 2 of 2 77-7 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ± :5 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001569 Date 11/20/08 Property Address . . . . . . 1615 E PARK TER Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc telephone cable ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ QUINTUS, JOHN BELL SOUTH TELECOMMUNICATIONS 1615 PARK TERRACE EAST PER M GRIFFIN 5/15/08 NO ATLANTIC BEACH FL 32233 LIC INSURANCE REQUIRED ATLANTIC BEACH FL 32233 (904) 256-3182 ---------------------------------------------------------------------------- Permit . . . . . . UTILITIES PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 11/20/08 Valuation . . . . 0 Expiration Date . . 11/20/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. JCA fli - CITY OF ATLANTIC BEACH -a s� 800 SENIINOLE ROAD 1;— = ATLANTIC BEACH,FL 32233 �r INSPECTION PHONE LINE 247-5826 Application Number 06-00033688 Date 8/24/06 Property Address . ! . 1615 E PARK TER Application type description RIGHT OF WAY PERMIT Property Zoning TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL TELEPHONE CABLE ---------------------------------------------------- ------------------------ Owner Contractor ------------------------ ------------------------ QUINTUS, JOHN BELL SOUTH TELECOMMUNICATIONS 1615 PARK TERRACE EAST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ----------------------------------------------- ----------------------------- Permit UTILITIES PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . 8/24/06 Valuation . . . . 0 Expiration Date 8/24/06 ------------------------ --------------------------------------------------- Fee summary gharged Paid Credited Due --------------- --------- ---------- ---------- ---------- Permit Fee Total y . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORWA BUILDING CODES. �. CR�-E s CITY OF ATLANTIC BEACH Q E"V-NU T PLAN REVIEW SHEET Routed to: S.Makowski Building Department Public Works&Public Utilities Departments L. Higgins 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5834 Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public a ety PLAN REVIEW COMMENTS Permit Application# u Q' e)5— Property Property Address: t(a� Pff K T-m UI,(PLJ Applicant: Of t I�Ll k —W,�c co M NWAl C a7k ".12)� Project: ��n��-a I T�i�,o Igo OLD I� This permit application has been: Approved as noted by the r Department. Final application approval musti-conde from the Building Department. Reviewed and the following items need attention: �c ,4-4, -n.� P4FA�(T I Zefk1Z G Please re-submit your application when these items have been completed. Reviewed By: 4Date: '(X- Date Contractor Notified: -9'1 �3�—/773 —Mill *L-lzzl mum �MUM .�. m 51 — Took FT 10 :v 1 � � � Rei♦���}, }■�T ss l� :K< _ ._._..•�'��� '`ter,,.♦.i �t. Kt G K 1664 1675 1641 16611644 1662 1680 1870 1665 1655 16'35 1638 1656 1656 1860 1849 1655 1650 1652 1632 .p p 1633 � 1648 1645 1626 1627 1644 1620 1622 1636 1640 1633 1600 1614 S( 1619 1815 1621 1627 1 J� 1601 o0 1601 335 325 315 COV CLUB a D� 'i 1585 310 1575 y 330 1580 1464 1570 1585 1565 1535 1452 15601555 1566 1420 1545 1542 1505 1550 1535 1528 421 1540 SE 1365 V , 1525 1514 1530 13655 1 1 1515 1500 1250 1345 1520 1220 1505 1305 1220 1626 1627 rr 1820 �.. -� y ��n 3; 1636 L SEA OATS 1814 Al � araIIJ s� er' -3 F1615 1621 1800 1601 335 ,60, S f�� 1 U JTRY Ci B 2 COt1NT Y CLUB B 1580 1575 1v �'� 1585 330 1586 1570 1565 1 1535 1555 1566 o 1420 1545 1542 1505 t t!. L.RA EC.) E CITY OF ATLANTIC BEACH isS f PLAN REVIEW SHEET Routed to: S.Makowski Building Department Public Works&Public Utilities Departments L.Higgins 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5834 �Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW COMMENTS p�t Permit Application# -U Q 51!91,21(p Z�U_ Property Address: ( 16 Pof K T-1 f CLO�/ Applicant: '/t Project: � � � 1 1 1 �T Vi COJO This permit application has been: Approved as noted b the Department. Pp Y Fad Final application approvalMmust come from the Building Department. Protect drainage pipes on Country_ Club Lane. Please re-submitour lication when these items have been completed. Reviewed By: Fl Date: V(Q Date Contractor Notified: ra -3 1-773 Permitee: BELLSOUTH TELECOMMUNICATIONS i eieptrone tp v%pt-von i w v Permittee Address: 11AA1 301 W. BAY ST., JACKSONVILLE FL. 32202 `AT�TN:ANGELA HERRON r� Requesting Permission to Construct: TELEPHONE CABLE Zy �l[ )b *� FLA-54 �S Location: Reference to Cross-Street Between ( T 1. Applicant declares that prior to filing this application he has ascertained the location of all fisting utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following UtilitiesJMunicipalities: Jacksonville Electric Authority Yes(X) No ( ) Date: % a Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas Yes(X) No ( ) Date: l Comcast Yes(X) No ( ) Date: WI g 1 Nn ;Iytirl;,�„ CITY OF ATLANTIC BEACH r -• CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS V 800 Seminole Road 904-247-5800 "-u'g Atlantic Beach,Florida 32233-5445 Fax 904247-5845 Date } , p PERMIT# ' Job Address �� � � CPJ � �. ISSUED BY THE CITY Permiee: BELLSOUTH TELECOMMUNICATIONS Telephone# 904-6341661 Permittee Address: 11AA1, 301 W. BAY ST., JACKSONVILLE, FL. 32202 ATTN:ANGELA HERR�ON1 Requesting Permission to Construct: TELEPHONE CABLE ZE T t`Ilio � F�-%..9r4 Location: (Reference to Cross-Street) Between V1v��._l' elf 1 •�(1 O��Yl� C �n Ln 1. Applicant declares that prior to filing this application he has ascertained the location of a fisting util'lties, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes(X) No ( ) Date: Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas Yes(X) No ( ) Date: 5tj 1 Comcast Yes(X) No ( ) Date: 1_g II 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of CLINT STRICKLAND (Contractor's Project Superintendent) located at Telephone#: 904393-4958. 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with 60 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Before me the day � in the unty of Duval State Of Florida,has personally appeared i\ Notary Public at Large,State of Flgrida,County^of Duval. My commission expires: frac' 22,"W Personally Known: or ,`kvYa,,4JI.I.CRUZ Produced Identification:IkPL P6 °`'•VNotmypubpo-8181e d i=torlde Conmisgon Exon Mar2Z 2009 CommbsionOOD4/0139 Bonded By Natior�el Awn. CITY OF ATLANTIC BEACH J ' CONSTRUCTION_ PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS Ram 904-247-5800 800 Seminole Road -to)it 9 Atlantic Beach,Florida 322333-5445 Fax 904-247-5845 Date 0 PERMIT# I ISSUED BY THE CITY Job Address�� � `e r'�e-e, �`- Permitee: BELLSOUTH TELECOMMUNICATIONS Telephone# 904-6341661 Permittee Address: 11AA1 301 W. BAY ST., JACKSONVILLE FL. 32202 ATTN: ANGELAAHERRON Requesting Permission to Construct: TELEPHONE CABLE `�l-Ao � I � " Location: (Reference to Cross-Street) Between sdv , ly7br--'- OW2" 6 Ln 1. Applicant declares that prior to filing this application he has ascertained the location of ah-e.cisting utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes (X) No ( ) Date: c�0W Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas Yes(X) No ( ) Date: I Comcast Yes(X) No ( ) Date: I Q I 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of CLINT STRICKLAND (Contractor's Project Superintendent) located at Telephone#: 904-393-4958. 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with 60 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER r' Signed: Before me this day C unty of Duval State Of Florida,has personally appeared W t\ Notary Public at Large,State of F�l9Qn,da,Countyof Duval. My commission expires: ShQ`C:r�22. r?d Personally Known: or `k° ^�?� JILLCRUZ Produced Identification: �( _ i_ A I�Z1- -<I ,,:�, �� Notary'Pubtic-Stab of Florlda •jMy Commission Expires Mar 22.2009 R =;;3,� Conwnbsion#DD 410139 '"too" `° HorWed By Natlorial= Am. P6fl13,227 a { ' DEPARTMENT OF SWLD1NG { CITY OF ATLANTIC B940H 1(. _ .. PimI" INFORMATION R rs numb r; "XAddress: �B i tpermit Ty a»MECHANICAL A')���.N�' C BEACH,, F , IR.I 3A _-„w ,; . C f' »AS 'A`RA'I`IOR • �LXGAL 'OESC I PT T OH.. . �tsn r. Ty a:WOOD FRAIL �I�1�ck; bot: T��» 0 . rip�� d �T' :SIIVOI;E FAI!I,I) Y. Sctiss '» Q Subd'» RIc : C Subdiv :ei:on»S LVA NARINA Est Viral 0".OO s � ;)mprov, co t RgL Q ! T� � a, ." 37 .00.` k Amcaun 37 .00 I ; Datjq, 9 t M ANLL AIR H NDLER low y� 7r, AP �'� ...�rrswr.'w >e:+ ...haw' . ......,�«,,. ,1"i s mmir A dr CE EAST �. 81 H, PLOR C2 dti! k 0 r i A - ------ dr: 10719, I , '. TREET 1OUT11 " -BEACH, FL 32250 eww "ib }u4 NOTICE'--ALL CONCIAETE PORMSSAko FOOTtuas MUST" At, I, PERMIT VOID SIX MONTHS AFTERi'DATE OF ISSUE o I, il01NG MATERtAI,RUBBISH AND'DEBOIS FROM THIS WORK MUST NOT.$E PLACED hP1 PUBLIC SPACEiAND'M ST BE C EARED UP A40 HAULED AWAY BY FiTRIi*F'CONTRACTOR OR OWNER 1�. P� �'.�•E :H/� � V LIE, LAW 0,A 'R PO RTY +C W Ef°PAYING TWICE P � 1lLOING IMP1 UI; ►ACCOR�i Q TO AR'PROVEfl:PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TGw► f LA1iON or AP L lCABLE PROVISIONS OF LAW. ATtNTIC BEACM.B iLt�fNCi'DEPARTMENT188�11 �. j { BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82288 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division 11. IDENTIFICATION — To be completed by all applicants , In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) Master S✓3S Name of Property Owner �� ✓�. S Signature of Owner Signature of or Authorised Agent r Architect or Engineer 1111. GENERAL I RMATI A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? ❑ Gat—❑ LP ❑ Natural �r Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MIICHANICAL EQUIPMENT TO RE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) 7 Residential or ❑ Commercial Heat ❑ Space ❑ Recessed 15- Central O Roor ❑ New Building Air Conditioning: ❑ Room P Central 1q- Existing Building ❑ Duct System: Material Thickness *5� Replacement of existing system Maximum capacity c.f.m. El New installation(No system previously Installed) ❑ Refrigeration O Extension or add-on to existing system ❑ Cooling tower: Capacity g p.m. ❑ Other — Specify ❑ Fra sprinklers: Number of heads_ Q Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ . Gasoline pumps (number) (fid) Q. Tank, (number) Remarks ❑ LPG containers (number) ❑ unfired pressure vessel ❑ sailers Permit Approved by Date Q Other — Specify Permit No LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity A4 Number Units Description Model Number Manufacturer (�) y DATING - FURNACES, BOILERS, FIREPLACES Capacity AVMVft Number Vail Description Model Number ][aautarturer (BTU) TANKS Now Many NoIXInal Capacity Type Liquid Nano of Serial Approving and Dimensions Contained Ma>a iftettwer No. _Agency 1 DEPARTM1M' OP BUILDING FOR OFFICE -092 GNL' CITY OF ASIC BEACH,. 'I,C R 1�a e' " .., }► #!Fee"S I Applicakt�.d .fop Permit for valuation Miscellany$ Alterations HOU$E f aire #5 (Statelif to repairs ;alter, add to ar '"move building, erect,,"a0, gac', ' sigma# etc. } Building n: Lot No,* lk No. Sub.Div. oip Address '` Valuation ' Ad?. BUILDINGS AMCCUPANCY ;BuildixagIse- - 'Ree3dentlal or Business what P1 ing wsa�rk tc� cone? r 8fa:e c f �esent Dlt g. i ` " Size of Extension Lot SiAo< _` of ssti ;x € `after alter ateial Of Raaf Materia: V osent -8u :ldin MaterI4l of Extensisan l8 EARY; P TO TN l atwaR OR GASotins U FMEN . .H of-: O 1 Burner or ne Pump Type or model N $�+es�s� o� t�faoturer Irk "c ra r�ec: ori` ez�.t application is also , ►de to instakllr F�val. capa., its tank s} !ga�OUOd. (Name, of Manufacturer} .". tf 4f; building For, L"1410:'�0r,; s e arae o asst .4 IrU S SHOWING ENyTy[IRE LA OUT ON "RE`ERS$ tIb OF fTkiZS T -. 1 Sis.e t Classificatiari " Mtate Whe r. r ora #" Wa r, pl` fKaterial f" C.onstr�ct3:on Zll�.nat" 7 ,.,.. ; � of iliumins�tion ." ee er sa or n " Niil signs be Ov+e�r Public, proper( SU N I G CON'S!l'RUT R MET ` :AGI - . . _ I' :ApDi 'ICEALy I)w# ON (Far a vas awrxirtgsa . nide dimensi"on do} tS 14 k"I1 PQR" 'C in eaeidstidn of perm#.t° 'iv+en for coi ►g-the wmrk ::4! c ibed . .n s, ',W wa4.hereby agree 't4 peforn said tk , .r ° y ," oco d$n w#t die attached glans an 'e cifications., w�ice^ .. e " oar( A or is o dar�ee+ riti the # ilt i g '` eg latf aria City oaf , 1ant c Semi, (Southerri4 Standard rd Suii.i ing Code:} 1 S1onature €� i ld or. 6wt war A i.Addres one NCf. r h 6 i w fir--,:�•��''``� -(• + ,J a 4- i �� Ap NTtC BEACN °f LD NC office K yap ANK t FHA Form 2005 •y For accurate register of carbon copies, form Form approved. VA Form VB4-1852 may be separated along above fold. Staple Budget Bureau No. 63-R055.17. Rev. Sept. 1964 completed sheets together in original order. ❑ Proposed Construction DESCRIPTION OF MATERIALS No. (To be inserted by FHA or VA) ❑ Under Construction Property address 0 w.* City State 'I.f1'1,ja3a Mortgagor or Sponsor m a4 r i a. ,,ad ui vei Ye aaggt&'Iiu4 i.� vatwo d jibx keactt, flar't a (Name) (Address) Contractor or Builder ;IIffp d J. Cut-r oo ttxwt► Ade jacg oriviii o i (Name) (Address) INSTRUCTIONS 1. For additional information on how this form is to be submitted, number required, then the minimum acceptable will be assumed. Work exceeding of copies, etc., see the instructions applicable to the FHA Application for minimum requirements cannot be considered unless specifically described. Mortgage Insurance or VA Request for Determination of Reasonable Value, as 4. Include no alternates, "or equal" phrases, or contradictory items. (Con- the case may be. sideration of a request for acceptance of substitute materials or equipment is 2. Describe all materials and equipment to be used, whether or not shown on not thereby precluded.) the drawings, by marking on X in each appropriate check-box and entering the 5. Include signatures required at the end of this form. information called for in each space. If space is inadequate, enter "See misc." 6. The construction shall be completed in compliance with the related drawings and describe under item 27 or on an attached sheet. and specifications,as amended during processing. The specifications include this 3. Work not specifically described or shown will not be considered unless Description of Materials and the applicable Minimum Construction Requirements. 1. EXCAVATION: Bearing soil, type 'j,and 2. FOUNDATIONS: Footings: concrete mix � f� * strength psi Reinforcing '`r Qisldl .1141It Foundation wall: material 4 a 6 A, lea p brick Reinforcing Interior foundation wall: material At Party foundation wall ' " \rtx Columns: material and sizes Piers: material and rei}tf gr ilt Girders: material and sizes Sills: material k AA3a i Basement entrance areaway Window areaways Waterproofing Footing drains r" Termite protection 6oi �` Irk Basemendess space: ground cover insulation foundation vents Special foundations Additional information: 3. CHIMNEYS: 6ri& teal 404Wd 30" fOr fIi 144,,00 Material VIAPrefabricated(make and size) Flue lining: material COWHeater flue size Fireplace flue size Vents (material and site): gas or oil heater water heater Additional information: 4. FIREPLACES: It in Type: `solid fuel;-t urning; ❑circulator(n#1 si �+,j� Ll ift dump and clean-out r Fireplace: facing lining ; hearth ; mantel Additional information: 5. EXTERIOR WALLS: 2 CCJ"t• t;*dar 1 lb. folt Wood frame: wool rade, and species Coi ner bracing. Building paper or felt r. � Sheathing thickness width ❑ solid; ❑ spaced " o. c.; ❑ diagonal; Siding ; grade type size ; exposure '; fastening Shingles ; grade type ; size ; exposure "; fastening Stucco* ; thickness Lath 1.4y.4 Air 2i4as; weight lb. MasonryXveneer Sills Lintels Masonry: ❑ solid ❑ faced ❑ stuccoed; total wall thickness "; facing thickness "; facing material Backup material ; thickness "; bonding Door sills Window sills Lintels Interior surfaces: dampproofing, coats of furring Additional information: I;�, , .oadi_,i :pr'uk cover Exterior painting: materia number of coats.- Gable oats.Gable wall construction: ❑ same as main walls; ❑ other construction 6. FLOOR FRAMING: 2A 0 1`#►;ne 4reii.leed '181+1 Joists: wood, grade, and species ; other ; bridging ; anchors Concrete slab: ❑ basement floor; ❑ first floor; ❑ ground supported; ❑ self-supporting; mix ; thickness reinforcing insulation ; membr4lIr,I ,jdo C100F 40 ote Fill under slab:material ; thickness-". Additional information: 7. SUBFLOORING: (Describe utVer o jnV fpr Fjj*%l floors under item 21.) MaterW: grade and species size type Laid: ❑ first floor; E] second floor; ❑ attic sq. ft.; ❑ diagonal; ❑ right angles. Additional information: 8. FINISH FLOORING: (Wood only. Describe other finish flooring under item 21.) LOCATION ,. RDO D SP , 1�CN WID' BLa. �:P ° ', FINISH First floor Second floor Attic floor sq. ft. Additional information: FHA Farm 2005 , DESCRIPTION OF MATERIALS VA Form V54-1852 21. SPECIAL FLOORS AND WAINSCOT: LOCATION MATERIAL, COLOR, BORDER, SIZES, GAGE, ETC. THRESHOLD WALL BASE UNDERFLOOR MATERIAL MATERIA AT RIA . � Kitchen -A �=:d3i • �"tix43+a� >i�LYrisi r 1";:wz, . �A, g Bath carr= ,LC file w LOCATION MATERIAL, COLOR, BORDER, CAP. SIZES, GAGE, ETC. HEIGHT HEIGHT HEIGHT IN SHOWERS UOVER TUB FROM FLOOR) z Bath ' a 3 Bathroom accessories: [I Recessed; material M"4W'J 0-; number 4 ❑Attached; material number Additional information: 22. PLUMBING: FIXTURE NUMBER LOCATION MAKE MFR'S FIXTURE IDENTIFICATION NO. SIZE COLOR Sink xi flo r•. a I'I 4'+ r m ri t 4. ili} co Ir` ?IcIFS t mal to Lavatory ; Ri, rr:i AW Ni Z.t,C ?4 d; iC r t)'t rely; 00101. Water closet 2 b&tit dire 1,1 frit► Cade t 7CY04 0 I` Bathtub A4 th :�;1 a rl can ap LCA• contour 5 6D pr Shower over tub Dial 56Z dd e Stall showery '24#:ter rm, iaL ot T Q Laundry trays • 2f❑ AF-1 rod ADoor ElShower pan: material Cosh!()&:,Irioll Water supply: ['public; ❑ community system; ❑ individual (private) system.* Sewage disposal: [public; ❑ community system; ❑ individual (private) system.* *Show and describe individual system in complete detail in separate drawings and specocations according to requirements. � Sa.ag+rburg House drain (inside): ❑#cast iron; E�tile; ❑ other House sewer (outside): ❑ cast iron; ❑ tile; `other Water piping: [X galvanized steel; M coper tubing; E] other Sill cocks, number }- Domestic water heater: typeric ; make and model ; heating capacity i++34tie eleaeut gph. 100° rise. Storage tank: material ; capacity gallons. Gas service: ❑ utility company; ❑ liq. pet. gas; ❑ other Gas piping: ❑ cooking; ❑ house heating. Footing drains connected to: ❑ storm sewer; ❑ sanitary sewer; ❑ dry well. Sump pump; make and model capacity ; discharges into 23. HEATING: ❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One-pipe system. ❑`Two-pipe system. ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model Radiant panel: ❑ floor; ❑ wall; ❑ ceiling. Panel coil: material ❑ Circulator. ❑Return pump. Make and model ; capacity gpm. Boiler: make and model Output Btuh.; net rating Btuh. Additional information: Warm air: Gravity. o Tnik stem Duct material: supply retgrn ` # nsul 'on thickness ❑ Outside air intake. Furnace: make and model-, ut Btu? o�utut Btuh, Additional information: ` £ IV ❑ Space heater; ❑ floor furnace; ❑ wall heater. Input Btuh.; output Btuh.; number units Make, model Vdili> I�ation: Controls: make and types Additional information: • a C Fuel: ❑ Coal; E] oil; E] gas; ❑ liq. pet. gas; E] electric; El other ; storage capacity Additional information: Firing equipment furnished separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper feed ❑; bin feed ❑ Oil burner: ❑ pressure atomizing; ❑ vaporizing Make and model Control Additional information: Electric heating system: type Input watts; @ volts; output Btuh. Additional information: Ventilating equipment: attic fan, make and model ^; capacity c&n. kitchen exhaust fan, make and model Other heating, ventilating, or cooling equipment 24. ELECTRIC WIRING: X a. 20 Service: ❑ overhead; ❑ underground. E,anel: ❑ fuse box; ❑ circuit-breaker; make Number circuits Wiring: ❑ condu' • ❑ ar red cable; ❑+nonmetallic VW7 44 cLr�'�ar*,,I �o*,d VL rtop Special outlets: [range; [water heater; ❑ other zia c �ir—+ # + hllf# Doorbell. ❑ Chimes. Push-button locations Additional information: 25. LIGHTING FIXTURES: as I"eq, 1510.010 Total number of fixtures Q63t .. 1jpw� xt i t y is t to l tt fi f 1«`wi t ti back. Nontypical installation Additional information: 3 DESCRIPTION OF MATERIALS Part of Government I.ot Six (6) , Section Nine (9) , Township 2 South, Range 29 East , more particularly described as follows: Beginning at the Northwest corner of Lot One (1) , Block Five (5) , Selva Marina No. 2, according to a plat thereof recorded in flat Rook 27, pages 6 and 6A, current public records of Duval County, Florida, said Northwest corner being located at a point in the section line common to Sections Nine (9) and Sixteen (16) , Township 2 South, Range 29 East, said section line being also the South boundary line of said Gove raiment Lot Six (6) ; thence from said point of beginning, run North 89° 20' 10" Fast along said South boundary line of Government Lot Six (6) a distance of' One Hundred Thirty (130) feet to a point ; thence run North 0° 39' SO" hest a distance of One Hundred Fifty (ISO) feet to a point; thence run South 89° 20' 10" West Ninety (90) feet to a point of curve; thence run along an arc of a curve an arc distance of Sixty two and eighty three hundredth (62.83) feet, said curve being concave to the left having a radius of Forty (40) feet, a central angle of 900 , a cord bearing of South 44° 201 10" West and a cord distance of Fifty six and fifty seven hundredths (56.57) feet, to a point of tangent; thence run South 00 39' SO" East One Hundred Ten (110) feet to the point or place of beginning; containing 0.44 acres, more or less; TRXIETIiER WITIi an easement for ingress and egress to and from the land being hereby conveyed, which easement shall be appurtenant to all of the land being hereby conveyed, but shall be non-exclusive and shall be used in common with said parties of the first part, its successors and assigns, which easement shall be over and upon a strip of land Sixty (60) feet in width adjoining and adjacent to the Westerly and Northerly bouindary lines of the land hereby conveyed; PROVIDED, HOWEVER, that said paxties of the first part reserve the right to include and show the land hereby conveyed and the Sixty (60) foot easement as a part of a subdivision plat to be prepared and recorded in the public records of Duval County, Florida, all with full right exclusively reserved to parties of the first part to make and execute the dedication of said Sixty (60) foot easement to the public in the usual form then required for recording plats. FOR OFFICE Urr�SE ONLY Date./.-2 -I�f\........19 4/ Permit #..<..��_�..Fee CITY OF ATLANTIC BEACH Valuation $---/ ,. -�' FLORIDA House .#.1.......-/--5- ......'.....--J...._".... - IPPLICATION FOR BUILDING PERMIT ------------------------------------------------•-------------------.....-I- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date....ov .....-Id---•--•-----•--•-------------------' 19Aa--- ---Telephone _.--Telephone No-------------------.......... Architect------•--•--------•-�--------------•-•-------........----------------------------------------Address------------------------------------------------------------Telephone No................ ----- - Contractor .--•---------------•----Address/W1 . A ......1 /.X---------Telephone No------------------- Lot No.4'647.Xe-----------------------------Block No-------------------------------Sub Divisiontf /,0A. .J*.....-:-------------------------•--------------Zone..­------- - f ' -----,E. 7 ��pp _. Street.�.9.tr�'------'Side i�en.�dr.�til.TR.�'.� �A---•-----�------��P.�F��-------------•-•-----------� Valuation $.f�!/�..L......-For what purpose will building be used--4.f /V,. ----.-.-.Type of construction.4/44A 1..� ../,�,�..__-_ Dimensions of Building.__ ,�_�4" y�s��_..._Dimensions of Lot_�,3`D�a,,x/1(l ------- K Size of Footings. a Size of Piers_ _ ._...•�.. 111".------Size of Si/li+s....._.X _..___._----Greatest Sill Span in ft...�'................Type Roof. How will Building be Heated? -------Will Building be on Solid or Filled Ground?__..._----------------.............. Size of Ceiling Joists..2_..-.rtl-------......._.._._..., Distance on Centers....... a �... ------------------------------ Greatest Span.--------- - D Size of Floor Joists---- •�X-�- -------------------------- Distance on Centers._.­1c .---.----.--•------•------------- Greatest Span.--11 ' ---.-•-••---------------•-•- " Size of Rafters­---- ----------------------------------- Distance on Centers..1`.--_- --------------------, Greatest Span--/41C As This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from O� 111'A-rA9t1,gAb.Y �i //� all lot-lines and existing buildings. APPROVED '**" - REAR LOT LINE Two copies of plans and specifications shall CITY of ATLANTIC BEACH be submitted with application. BUILDINC OFFICE Inspections required. 1 1. When steel is in place and ready to pour footing. Date` � 5:.••�' ---- W p 2. When steel is in place and ready to pour columns and/or lintel. z z 3. When steel is in place and ready to pour beam. 7 v a 4. When framing is completed. E-4 % E-1 o 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. q .�Z G�' A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans nd specifications, which are a part hereof, and in accordance with the building regulations of the Cit f lantic Beach. Q A& Q Signature of Builde A ... .--- ........ Address-,�o -- - -----A&---------- Signature of Owner—----- - ------ Address..........................•-----------.